2025 ICD-10-CM code J43.1
(Active) Effective Date: N/A Diseases of the respiratory system - Chronic lower respiratory diseases 10 Feed
Panlobular emphysema. This condition is also known as panacinar emphysema.
Medical necessity for services related to J43.1 must be established based on the patient's clinical condition and the severity of their emphysema.Treatment aims to alleviate symptoms, improve quality of life, and prevent disease progression. Documentation should support the need for any interventions, such as oxygen therapy, medications, or pulmonary rehabilitation.
Diagnosis and treatment of panlobular emphysema fall under the purview of pulmonologists, respiratory therapists, and general practitioners.Pulmonologists specialize in the diagnosis and management of respiratory diseases, while respiratory therapists assist in the treatment and rehabilitation process. General practitioners provide initial care and can refer patients to specialists.
In simple words: Panlobular emphysema is a type of lung disease where the tiny air sacs in your lungs are damaged. This makes it harder to breathe.
Panlobular emphysema is a form of emphysema characterized by the destruction of the air sacs (alveoli) in the lungs. Unlike centrilobular emphysema, which mainly affects the respiratory bronchioles in the upper lobes of the lungs, panlobular emphysema affects the entire acinus from the respiratory bronchiole to the alveoli and is predominantly located in the lower lobes.
Example 1: A 65-year-old patient with a long history of smoking presents with shortness of breath, chronic cough, and decreased exercise tolerance. Imaging studies reveal destruction of alveoli throughout the lungs, especially in the lower lobes, consistent with panlobular emphysema., A 50-year-old patient with alpha-1 antitrypsin deficiency experiences increasing dyspnea and reduced lung function.Imaging and pulmonary function tests confirm the diagnosis of panlobular emphysema., A patient with a history of panlobular emphysema develops an acute exacerbation with worsening shortness of breath and increased sputum production. They require hospitalization for oxygen therapy, bronchodilators, and antibiotics to treat the underlying infection.
Documentation for J43.1 should include:* Detailed history of symptoms, including duration, severity, and triggers* Physical exam findings, including auscultation of the lungs* Pulmonary function tests (PFTs) showing reduced FEV1/FVC ratio* Imaging studies (chest X-ray or CT scan) demonstrating characteristic changes of emphysema, such as hyperinflation and bullae formation* Alpha-1 antitrypsin deficiency testing if indicated
- Specialties:Pulmonology, Respiratory Therapy, Internal Medicine, Family Medicine
- Place of Service:Inpatient Hospital, Office, Outpatient Hospital, Skilled Nursing Facility, Home